Prospective controlled cohort study of Troponin I levels in patients undergoing elective spine surgery for degenerative conditions: Prone versus supine position

Highlights • Early TnI levels after non-cardiac surgery represent subclinical cardiac stress. • Prolonged prone positioning is a potential additional, independent, cardiac stress. • Routine post-operative TnI monitoring has been suggested as a “standard of care”. • Prospective cohort study of electi...

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Veröffentlicht in:	Journal of clinical neuroscience 2017-01, Vol.35, p.62-66
Hauptverfasser:	Macfarlane, A.I, Rudd, D, Knight, E, Marshman, L.A.G, Guazzo, E.P, Anderson, D.S
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Biomarkers - blood Cohort Studies Elective Surgical Procedures - methods Female Humans Male Middle Aged Neurology Patient Positioning - methods Prone Prospective Studies Risk Factors Spinal Diseases - blood Spinal Diseases - diagnosis Spinal Diseases - surgery Spine surgery Supine Position - physiology Troponin I - blood Troponin-I
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Beschreibung
Zusammenfassung:	Highlights • Early TnI levels after non-cardiac surgery represent subclinical cardiac stress. • Prolonged prone positioning is a potential additional, independent, cardiac stress. • Routine post-operative TnI monitoring has been suggested as a “standard of care”. • Prospective cohort study of elective spine surgery: prone versus supine. • No genuine TnI elevation either group: routine TnI monitoring is not justified.
ISSN:	0967-5868 1532-2653
DOI:	10.1016/j.jocn.2016.09.008